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Strategies were examined for improving transitions and access to medications for OUD (MOUD). From March to October 2023, semi-structured interviews were conducted with 29 administrative and clinical leaders from 27 SNFs across 19 states. Thematic analysis identified five implementation barriers and recommendations, emphasizing education, stigma reduction, stronger information transfer and coordination, and regulatory reforms to expand MOUD access.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/improving-care-for-skilled-nursing-facility-residents-with-opioid-use-disorder-a-qualitative-study/426349/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/improving-care-for-skilled-nursing-facility-residents-with-opioid-use-disorder-a-qualitative-study/426349.png","ImageObject",300,407,{"name":92,"@type":93},"Mimi","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-08","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What problem do skilled nursing facilities face regarding opioid use disorder transitions?","Question",{"text":112,"@type":113},"SNFs face financial, safety, and legal risks when hospital-to-SNF transitions are poorly managed and care practices do not meet the needs of people with OUD.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the qualitative study conducted and who participated?",{"text":117,"@type":113},"From March to October 2023, semi-structured interviews were conducted with 29 administrative and clinical leaders involved in admissions from 27 SNFs across 19 states.",{"name":119,"@type":110,"acceptedAnswer":120},"What themes did the researchers identify to explain gaps in care and MOUD access?",{"text":121,"@type":113},"Five themes included facility experience and stigma, confusion between pain opioids and OUD-related dependence, navigation of information transfer, siloed regulations limiting admissions and MOUD access, and the need to build trust during transition.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},426349,1790763769,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},2336477974920,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Innovation in Aging, 2025, Vol. 9, No. S2 457  \nAbstract citation ID: igaf122.1564  \nIMPROVING CARE FOR SKILLED NURSING FACILITY RESIDENTS WITH OPIOID USE DISORDER: A  \nQUALITATIVE STUDY  \nAshley Ritter1, Corinne Roma2, Charlie Merrick2,  \nShivani Nishar3, Katherine Kennedy4, Jon Soske5,  \nAndrew Zullo2, and Patience Dow3, 1. Hunter-Bellevue School of Nursing, Hunter College, City University of New York, Yardley, Pennsylvania, United States, 2. Brown University, Providence, Rhode Island, United States, 3. Brown University School of Public Health, Providence, Rhode Island, United States, 4. Providence VA Healthcare System, Providence, Rhode Island, United States, 5. Brown University Health, Providence, Rhode Island, United States  \nSkilled nursing facilities (SNFs) face financial, safety, and legal risks when transitions from hospitals are poorly managed and care practices fail to meet the needs of people with opioid use disorder (OUD) . We examined strategies to optimize hospital-to-SNF transitions and access to medications for OUD (MOUD) . From March to October 2023, we conducted semi-structured interviews with 29 administrative and clinical leaders involved in admissions from 27 SNFs across 19 states. Using descriptive thematic analysis, we identified five themes: (1) Variation in facility experience and stigma, and readiness: Resources and willingness to care for people with OUD varied substantially. (2) Conflation of OUD with pain management: Participants struggled to distinguish between opioids for pain, OUD, and physiologic dependence, highlighting knowledge differences about OUD. (3) Navigating information transfer: SNF staff often sought potential challenges that could negatively impact patient care before admission and noted that hospitals sometimes omitted important details to secure placement. (4) Siloed regulations and care delivery: Participants described how fragmented regulatory structures hindered admissions of people with OUD and limited their access to MOUD in SNFs. (5) Building trust and managing expectations during transition: The hospital-to-SNF transition and onboarding process was a crucial period for developing trust between people with OUD and SNF staff. Improving transitions and care for people with OUD requires education about OUD and stigma, enhanced information transfer and care coordination, and regulatory reforms to expand MOUD access in SNFs. Persistent challenges in the care for people with OUD who require SNF care require urgent action.","cbCaifoC7md3aCek","https://ap.wps.com/l/cbCaifoC7md3aCek","pdf",450741,"English","# Abstract\n## Study Aim and Setting\n## Methods and Participants\n## Key Themes and Barriers\n## Implications for Education, Care Coordination, and Policy","[{\"question\":\"What problem do skilled nursing facilities face regarding opioid use disorder transitions?\",\"answer\":\"SNFs face financial, safety, and legal risks when hospital-to-SNF transitions are poorly managed and care practices do not meet the needs of people with OUD.\"},{\"question\":\"How was the qualitative study conducted and who participated?\",\"answer\":\"From March to October 2023, semi-structured interviews were conducted with 29 administrative and clinical leaders involved in admissions from 27 SNFs across 19 states.\"},{\"question\":\"What themes did the researchers identify to explain gaps in care and MOUD access?\",\"answer\":\"Five themes included facility experience and stigma, confusion between pain opioids and OUD-related dependence, navigation of information transfer, siloed regulations limiting admissions and MOUD access, and the need to build trust during transition.\"}]","IMPROVING CARE FOR SKILLED NURSING FACILITY RESIDENTS WITH OPIOID USE DISORDER - A QUALITATIVE STUDY | PDF",1790640280]